HomeMy WebLinkAboutX2019-0618 - Permit ApplicationPrint Fom, Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division o
Comm'I r Residential MnTr PI AN cHFCK FFFS nUF AT TIME OF SUBMITTAL
F-- F Grading j -Drainage r/Elec r. Mech r- Plum cu Yd cut Cu Yd Fill
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Project Address (Not mailing address) r- Flood j- Fire r--. Liq r-. Landslide r -N/A Floor Suite No
610 Newport Center Dom Suite 900
Description of Work
Use , l Const Type
# Storiesi.. # ni s I, s)[
{7 qeW en9e (no change to ezisting structural enfitles, egress, or bldg occupancy type)
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Valuation $ $256,745
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New/Add SFF—. Remodel SF Garage/New/Add pFFI(",e
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OWNER'S NAME Last Irvine Company Office Propedies First YV
Owners Address Owners E-mail Address
111 Innovafion Drive vblackbum@irvinewmpsoy.com
city Irvine State DA _ Zip 92617 Telephone 949-720.2550 -
APPLICANTS NAME Last Baker (as agent) First I Laurie
Applicant's Address Applicant's E-mail Address
23981 Swallowtail Drive lauriebb@gmail.com
City I Laguna Niguel. State f-" - Zip r92677 -. Telephone 4�j--) D�j�tr0
ARCHITECT/DESIGNERS NAME Last I Hardy CDT First f Jason J. _ _ Lic. No.
Architect/Designees Address ArchdectlDesigners E-mail Address
1201 Marquette Avenue Suite 200 JHardy@nelsononline.com
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City -Minneapolis State MN Zip 55403 Telephone 812.370.1585
ENGINEER'S NAME Last FTBD -. - -. -...- First F"-.-- Lic. No.
Engineer's Address Engineers E-mail Address
City -- State— Zip Telephoner
CONTRACTOR'S NAME/COMPANY TBD Lic. No.`) - 5-- Ic _ Class
Contractor's Address Contractors E-mail Address
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City tc v „0 State C A Zip I CtZ(o I TelephoneF4 -tyOiU
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. / )iIll�rFlr
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USE ZONE DEVELOPMENT NOT�� Int '00 -?-o PLAN CHECK FEES $
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